The Lodge at Jordan River

November 17, 2025 · Unannounced, Annual Inspection

No citations from this inspection.

January 21, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

December 26, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

December 11, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

October 29, 2024 · Complaint, Follow-Up Inspection, Complaint, Investigation Inspection

• Low Secure Unit Admission Agreement(R432-270-16(2)(a)-(b))

  The provider was out of compliance with this rule by not having a secure unit admission agreement that indicated placement in a secure unit. During the inspection, 3 residents did not have the required secure unit agreements available for review. This noncompliance was previously cited on 04/29/2024, 06/26/2024, 07/31/2024 and 9/17/2024.

  How was this corrected? On 12/11/2024, the licensor verified with the regional nurse, that each resident admitted to a secure unit had an admission agreement that indicated placement in the secure unit, as stated in rule.

  Corrected on December 11, 2024, verified by the state. · $100 penalty

• Low Notification of medication errors(R432-270-19(14))

  The provider was out of compliance with this rule by not ensuring that the licensed healthcare professional was notified when medication errors occurred. During the inspection, 2 medication errors occurred and did not contain documentation that the licensed health care professional had been notified. This non-compliance was previously cited on 6/26/2024 and 9/27/2024.

  How was this corrected? On 12/26/2024, the licensor verified that the licensed health care professional was notified when a medication error occurred, as stated in rule.

  Corrected on December 26, 2024, verified by the state.

• Low Resident unable to self administer medications(R432-270-19(7)(a)-(f))

  The provider was out of compliance with this rule by not ensuring that medications were administered according to the prescribing order. During the inspection, 4 residents did not have medications administered as prescribed. This non-compliance was previously cited on 4/29/2024, 6/26/2024 and 9/17/2024.

  How was this corrected? On 1/21/2025, the licensor verified that the medication technician administered mediation according to the prescribing order, as stated in rule.

  Corrected on January 21, 2025, verified by the state. · $100 penalty

• High Provider shall protect each client(R380-80-4(1))

  The provider was out of compliance with this rule by not protecting each resident from neglect. During the inspection, 1 resident was determined to have been neglected.

  How was this corrected? On 12/11/2024, the licensor verified with the regional nurse, that residents were protected from neglect, as stated in rule.

  Corrected on December 11, 2024, verified by the state. · $200 penalty

• High One direct care staff in secure unit(R432-270-16(4))

  The provider was out of compliance with this rule by not ensuring at least one direct-care staff was in the secure unit continuously. During the inspection, it was determined that the secure unit was not continuously staffed with direct-care staff.

  How was this corrected? On 12/11/2024, the licensor verified with the regional nurse, that there was at least one direct-care staff in the secure unit continuously, as stated in rule.

  Corrected on December 11, 2024, verified by the state.

September 17, 2024 · Complaint, Additional Follow-Up Inspection

No citations from this inspection.

July 31, 2024 · Complaint, Additional Follow-Up Inspection, Complaint, Investigation Inspection

• Low Control of odors(R432-270-23(3))

  The provider was out of compliance with this rule by not ensuring control of odors by maintaining cleanliness. During the inspection, the southeast hallway had a strong urine smell. This noncompliance was previously cited on 12/05/2023, 04/29/2024, and 06/26/2024.

  How was this corrected? On 09/17/2024, the licensor verified that odors are controlled at stated by rule.

  Corrected on September 17, 2024, verified by the state.

• Low Written incident and injury reports(R432-270-21(6))

  The provider was out of compliance with this rule by not ensuring that written incident reports and injury reports are maintained to document injuries. During the inspection, 1 resident received an injury and no written injury or incident report was completed related to that injury. This noncompliance was previously cited on 12/05/2023 and 04/29/2024.

  How was this corrected? On 12/11/2024, the licensor verified with the regional nurse, that written incident and injury reports were maintained for all situations or circumstances, affecting the health, safety, or well-being of residents, as stated in rule.

  Corrected on December 11, 2024, verified by the state. · $100 penalty

June 26, 2024 · Follow-Up, Additional Follow-Up Inspection, Follow-Up Inspection

• Low Accurate and complete records(R432-270-21(1))

  The provider was out of compliance with this rule by not ensuring accurate and complete records were maintained and easily accessible to staff and the department. During the inspection, two (2) employee files and 1 resident file were requested and were unable to be provided. This noncompliance was previously cited on 12/5/2023 and 4/29/2024.

  How was this corrected? On 07/31/2024, the licensor verified that accurate and complete records are maintained, as stated by rule.

  Corrected on July 31, 2024, verified by the state. · $100 penalty

• Low Signed and dated resident assessment completed prior to admission(R432-270-13(1))

  The provider was out of compliance with this rule by not ensuring that a signed and dated resident assessment was completed before admission. During the inspection, 1 resident assessment was not completed before admission. This noncompliance was previously cited on 4/29/2024 and 12/5/2023.

  How was this corrected? On 07/31/2024, the licensor verified that there was a signed and dated resident assessment completed prior to admission, as stated by rule.

  Corrected on July 31, 2024, verified by the state. · $100 penalty

• High Type II Hospice Patients(R432-270-11(10)(a)-(c))

  The provider was out of compliance with this rule by not ensuring the type II assisted living facility accepted and retained a resident, on hospice, who could not evacuate the facility without significant assistance, and developed an emergency plan to evacuate the hospice resident in the event of an emergency. During the inspection, one (1) hospice patient resident was identified as requiring significant assistance to evacuate and the facility had not developed an emergency evacuation plan. This noncompliance was previously cited on 4/29/2024.

  How was this corrected? On 07/31/2024, the licensor verified that an emergency plan to evacuate the hospice resident in the event of an emergency and an emergency plan into the resident's service plan, as stated by rule.

  Corrected on July 31, 2024, verified by the state. · $400 penalty

• Low Control of odors(R432-270-23(3))

  The provider was out of compliance with this rule by not ensuring that odors were controlled by maintaining cleanliness. During the inspection, an environmental tour of the facility was conducted and the south hallway of the facility was observed to have a strong offensive odor. This noncompliance was previously cited on 12/5/2023 and 4/29/2024.

  How was this corrected? On 07/31/2024, the licensor observed there was a weekly menu posted in a public area, as stated by rule.

  Corrected on July 31, 2024, verified by the state. · $100 penalty

April 29, 2024 · Follow-Up, Additional Follow-Up Inspection, Unannounced, Annual Inspection

• High Type II Hospice Patients(R432-270-11(10)(a)-(c))

  The provider was out of compliance with this rule by not ensuring the type II assisted living facility accepted and retained a resident, on hospice, who could not evacuate the facility without significant assistance, and developed an emergency plan to evacuate the hospice resident in the event of an emergency. During the inspection, one (1) hospice patient resident was identified as requiring significant assistance to evacuate and the facility had not developed an emergency evacuation plan.

  How was this corrected? On 07/31/2024, the licensor verified that an emergency plan to evacuate the hospice resident in the event of an emergency and an emergency plan into the resident's service plan, as stated by rule.

  Corrected on July 31, 2024, verified by the state. · $200 penalty

• Low Written schedule for maintenance(R432-270-25(1))

  The provider was out of compliance with this rule by not ensuring maintenance was conducted to ensure that fixtures were safe, operable, in good repair, and in compliance with Rule R432-6. During the inspection, the fire doors in the north east hallway were observed to not close and latch securely. This noncompliance was previously cited on 10/25/2023 and 12/26/2023.

  How was this corrected? On 10/29/2024, the licensor verified with the Regional Nurse that the Northeast fire door closed properly and was operational, as required by rule.

  Corrected on October 29, 2024, verified by the state. · $100 penalty

March 25, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

February 12, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

December 26, 2023 · Follow-Up Inspection

No citations from this inspection.

December 5, 2023 · Complaint, Investigation Inspection

• High Administrator Duties(R432-270-8(1)(a)-(p))

  The provider was out of compliance with this rule by not ensuring the Administrator admitted and retained only those residents who met admission criteria and whose needs could be met by the facility and did not review at least quarterly every injury, accident, and incident to a resident or employee and did not document appropriate corrective action. During the inspection, a resident was identified to not meet admission criteria and whose needs could not be met by the facility. Additionally, a review of incident reports from January 2023 to current was conducted. Corrective action was not observed to be documented on the reviewed incident reports.

  How was this corrected? On 12/26/2023, the Licensor verified that the provider understood the rule and the provider did not have any new admissions.

  Corrected on December 26, 2023, verified by the state. · $200 penalty

• High Type II accept and retain residents(R432-270-11(5)(a-c))

  The provider was out of compliance with this rule by not ensuring the Type II licensee accepted and retained residents who were capable of evacuating the facility with the limited assistance of one person. During the inspection, 2 residents were observed to require more than the limited assistance of 1 person to transfer and evacuate the facility.

  How was this corrected? On 2/12/2024, the licensor verified that the provider had found new placement for the resident who did not meet criteria, as stated by rule. The resident refused to move out of the facility.

  Corrected on February 12, 2024, verified by the state. · $400 penalty

• High Residents Rights(R432-270-10(5)(a)-(x))

  The provider was out of compliance with this rule by not ensuring that each resident was treated with respect, consideration, fairness, and full recognition of personal dignity and individuality. During the inspection, a resident, who required the use of a wheelchair, was identified as being previously admitted to the facility, when the facility did not have a wheelchair accessible room.

  How was this corrected? On 2/12/2024, the licensor verified that the facility offered the resident a wheelchair accessible room, as stated by rule. The resident refused to move to a wheelchair accessible room and was refusing to move out of the facility.

  Corrected on February 12, 2024, verified by the state. · $200 penalty